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General NPI Number Information
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NPI Number | 1154749604
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Entity Type | Organization
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Legal Business Name | TUCKER COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 219 SUNNYSIDE LANE
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City | PARSONS
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State | WV
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Zip | 26269
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Country | US
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Telephone | 304-478-3572
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Fax | 304-478-3864
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Provider Business Mailing Address
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Address Line | 219 SUNNYSIDE LANE
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City | PARSONS
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State | WV
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Zip | 26269
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Country | US
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Telephone | 304-478-3572
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Fax | 304-478-3864
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAMES SNYDER
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Credential |
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Telephone | 304-478-3572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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